All patients will need to fill out a Patient Registration form and Medical History form. Please print and fill out these two forms prior to your first visit and bring them with you to shorten your time filling out forms in the office. Even if you have been a patient of Dr Levy Gantt’s prior to being seen in this new office, you will still need to fill out new registration and history forms; we apologize for this inconvenience. Thank you for your patience and cooperation in this matter! If you do not fill the forms out ahead of time, please come to your appointment about fifteen minutes early so you can fill them out in the office. Thank you.
Download the Patient Registration form here.
Download the Medical History form here.
Download the Financial Agreement form here.
*****IF you are interested in hearing about The MonaLisa Touch, please call for a consult!!*****